Individual provider Active NPI

Katie Boylan, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1669885182
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02459 Issued in NM
Practice address
10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048
Phone
(505) 207-9044
NPI assigned
Jun 3, 2014
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02459 NM Primary

Addresses

Primary practice location

10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048

Mailing address

10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048
Phone (505) 207-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108001902 NM Practitioner - Nurse Practitioner 7214250786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cottonwood Family Medicine LLCGroup PAC ID 8123327590, 2 clinicians

Practice addresses (Care Compare)

10131 Coors Blvd NW
Suite H8
Albuquerque, NM 87114-4048
Phone (505) 207-9044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-02459NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Home Health Care LLC Current Accepting new patients

Locations

10131 Coors Blvd NW
Ste H8
Albuquerque, NM 87114
Phone (505) 204-9044

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1669885182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 COORS BLVD NW STE H8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144048",
            "telephone_number": "505-207-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 COORS BLVD NW STE H8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144048",
            "telephone_number": "505-207-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.